Colvin Jennifer Sue, Morris-Stiff Gareth, Cruise Michael, Purysko Andrei
General Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
HPB Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
BMJ Case Rep. 2017 May 9;2017:bcr-2017-220114. doi: 10.1136/bcr-2017-220114.
A 73-year-old man presented with a right-sided chest wall mass that showed an epitheloid neoplasm with mild cytologic atypia on core needle biopsy. He underwent surgical resection, and final pathology revealed solitary fibrous tumour/hemangiopericytoma with negative margins. Three years after surgical resection, the patient presented with fatigue, abdominal pain, weight loss and mildly elevated liver function tests. Further workup revealed a 1.2 cm hypervascular mass in the neck of the pancreas. This case report summarises the surgical treatment and outcomes for a patient who presented with this rare tumour.
一名73岁男性患者,右侧胸壁出现肿块,粗针穿刺活检显示为具有轻度细胞异型性的上皮样肿瘤。他接受了手术切除,最终病理显示为孤立性纤维瘤/血管外皮细胞瘤,切缘阴性。手术切除三年后,患者出现疲劳、腹痛、体重减轻和肝功能轻度升高。进一步检查发现胰腺颈部有一个1.2厘米的高血管性肿块。本病例报告总结了一名患有这种罕见肿瘤患者的手术治疗及结果。